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Arkansas rates for HCPCS 57295

Revision (including removal) of prosthetic vaginal graft; vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.24 / $1,397.00 / $4,478.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,875.60 / $2,875.60 / $3,450.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,022.76 / $2,022.76 / $2,022.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,064.00